Organization
MONOLITH DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN E SWAPP (PRESIDENT)
(928) 263-3706
Entity
Organization
Contact information
Practice address
1740 SYCAMORE AVE, STE. C, KINGMAN, AZ 86409-0942
(928) 263-3706
(928) 263-3604
Mailing address
PO BOX 6024, KINGMAN, AZ 86402-6024
(928) 263-3706
(928) 263-3604
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
47589
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
47589
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220494
—
AZ
Enumeration date
08/26/2016
Last updated
10/30/2018
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